ArticleArthroplasty today2021
Utilization of technology-assisted total hip arthroplasty in the United States from 2005 to 2018.
Article in Arthroplasty today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed.
- Five-year implant-related complication rates of total hip arthroplasty performed for osteonecrosis were not improved by robotic-assisted or computer-navigated techniques.International orthopaedics · 2026Article
- Utilization Trends and Surgical Outcomes of Technology-Assisted Total Hip Arthroplasty in the United States From 2014 Through 2024.Arthroplasty today · 2026Article
- Balancing Safety and Efficacy: Uncemented Versus Cemented Total Hip Arthroplasty in the Elderly.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Increasing Utilization Trends of Robotic Assistance in Orthopaedic Surgery.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Technology-assisted Total Hip Arthroplasty: A Contemporary Analysis of Regional Trends, National Trends, and 90-day Outcomes in a Nationwide Cohort.Arthroplasty today · 2026Article
- Technology in Total Hip Arthroplasty: Recent Advancements.Orthopedic reviews · 2026Article
- Intraoperative performance and influencing factors in computer-assisted total shoulder arthroplasty: a large-scale analysis.Scientific reports · 2025Article
- Computer-assisted total hip arthroplasty reduces early complications based on Japanese nationwide medical claims data.Archives of orthopaedic and trauma surgery · 2025Article
- Comparison of Outcomes Between Modular Dual Mobility and Conventional Hip Implants in Primary, Elective Total Hip Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Learning Curves Associated With Robotic Total Hip Arthroplasty: A Scoping Review.Orthopaedic surgery · 2025Article
- No difference in clinical outcomes in robotic-assisted vs. computer-navigated total hip arthroplasty.Arthroplasty (London, England) · 2025Article
- Trends of robotic total joint arthroplasty utilization in the United States from 2010 to 2022: a nationwide assessment.Journal of robotic surgery · 2025Article
- Physical and mental demand during direct anterior total hip arthroplasty: Comparison of robotic-assisted and conventional techniques.Journal of orthopaedics · 2025Article
- The Role of Artificial Intelligence and Emerging Technologies in Advancing Total Hip Arthroplasty.Journal of personalized medicine · 2025Review
- A Handheld, Portable Image-Based System May Outperform Computer Navigation or Robotic Platforms in Providing Accurate Acetabular Component Positioning.Arthroplasty today · 2024Article
- Clinical Trends and Outcomes in Technology-Assisted Total Hip Arthroplasty.Journal of clinical medicine · 2024Article
- Article
- Use of Computer Navigation for Optimal Acetabular Cup Placement in Revision Total Hip Arthroplasty: Case Reports and Surgical Techniques.Arthroplasty today · 2024Article
- Some Offset Restoration Options Can Paradoxically Lead to Decreased Range of Motion in Primary Total Hip Arthroplasty: A 3-Dimensional Computer Simulation Study.The Journal of arthroplasty · 2024Article
- Total Hip Arthroplasty: An Update on Navigation, Robotics, and Contemporary Advancements.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2023Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSuccessful outcomes in total hip arthroplasty (THA) rely in part on accurate component positioning, which may be optimized through the use of computer navigation and robot-assistance. Therefore, we queried a large national database to characterize national trends in technology-assisted THA utilization, determine whether these technologies were associated with increased hospital charges, and identify demographic factors associated with technology-assisted THA.
methodsUsing the Nationwide Inpatient Sample database, patients that underwent conventional THA, computer-navigated THA, and robot-assisted THA from 2005 to 2018 were identified. Patient and hospital demographics, charge data, and payer characteristics were collected. Temporal trends in utilization were reported. Univariate analyses were performed to compare differences between groups with multiple logistic regression analysis to account for confounders.
resultsIn total, 3,428,208 patients undergoing THA from 2005 to 2018 were identified, of which 63,136 (1.8%) used computer navigation and 32,660 (1.0%) used robot-assistance. National utilization of computer navigation in THA increased from 0.1% to 1.9% between 2005 and 2018, while utilization of robot-assisted THA increased from <0.1% to 2.1% from 2008 to 2018. On multivariate analysis, technology-assisted THA was most commonly performed in urban hospitals in the Northeastern United States. Median hospital charges were increased for technology-assisted THAs relative to conventional THAs ($66,089 ± $254 vs $55,418 ± $43).
conclusionsComputer navigation and robot-assistance in THA demonstrated a consistent increase in utilization during the period examined, representing 4.0% of THAs performed in 2018. Patient and hospital characteristics including risk of mortality, geographic region, and teaching status were associated with increased utilization. Utilization of computer navigation was associated with increased hospital charges.
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